JOSE EMILIO MORALES MORENO (NPI# 1730610155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730610155 |
| Entity Type | Individual |
| Full Name | JOSE EMILIO MORALES MORENO |
| Credential | M.D. |
| Practice Address |
1465 S Grand Blvd Rm 2717 Ssm Health Cardinal Glennon Children's Hospital Saint Louis MO 63104-1003 |
| Practice Telephone | 3145775634 |
| Practice Fax Number | 3145775616 |
| Mailing Telephone | 3145775634 |
| Mailing Fax Number | 3145775616 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2020-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
11705342-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
1465 S GRAND BLVD RM 2717 SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134562937 | Melissa Ann Wehrmann | Pediatrics | 1465 S Grand Blvd Rm 2717, Ssm Cardinal Glennon Children's Medical Center, Saint Louis, MO 63104-1003 | 2013-04-10 |
| 1487151361 | Jennifer Schanzle | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd Rm 2717, Saint Louis, MO 63104-1003 | 2018-04-09 |
| 1437656147 | Lequan Dang | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd Rm 2717, Saint Louis, MO 63104-1003 | 2018-04-09 |
| 1003313156 | Joseph Hart Collins | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd Rm 2717, Saint Louis, MO 63104-1003 | 2018-04-06 |
| 1548766892 | Jacob Hutton | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd Rm 2717, Saint Louis, MO 63104-1003 | 2018-04-04 |
| 1528564085 | Samantha A Fee | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd Rm 2717, Saint Louis, MO 63104-1003 | 2018-04-03 |
| 1659877199 | Nehal Rakesh Parikh | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd Rm 2717, Saint Louis, MO 63104-1003 | 2018-04-03 |
| 1609372226 | Curie Marie Subramanian | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd Rm 2717, Saint Louis, MO 63104-1003 | 2018-04-03 |
| 1073019543 | Julio Ramirez | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd Rm 2717, Saint Louis, MO 63104-1003 | 2018-04-03 |
| 1154852598 | Elizabeth Mccarter Noonan | Pediatrics | 1465 S Grand Blvd Rm 2717, 1465 South Grand Blvd, Rm 2717, Saint Louis, MO 63104-1003 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174183289 | Katelyn Moring | Pediatrics | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-06-20 |
| 1114472115 | Ahmad Tariq Hamed | Pediatrics | 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 | 2016-08-18 |
| 1548601586 | Karl M. Huebner | Pediatrics | 1 Childrens Pl, 3s34, Saint Louis, MO 63110-1002 | 2013-07-06 |
| 1134417389 | Reinis Balmaks | Pediatrics | 1 Childrens Pl, Cb 8116 Nwt 8, Saint Louis, MO 63110-1002 | 2011-07-20 |
| 1881826626 | Michael Sorkis Zahra | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2009-08-12 |
| 1891924098 | Courtney R Maguire | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2009-07-08 |
| 1598984361 | St Louis University | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-04-24 |
| 1629107958 | Paula A Casey | Pediatrics | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2007-03-04 |
| 1376612572 | Mercy Clinic Children's Critical Care, LLC | Pediatrics | 621 S New Ballas Rd, Suite 6009-b, Saint Louis, MO 63141-8232 | 2006-11-06 |
| 1902822125 | Paul A Checchia | Pediatrics | 1 Childrens Pl, Suite 5s20, Saint Louis, MO 63110-1002 | 2006-07-14 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.